Carlock, Jenifer L

Carlock, Jenifer L is an individual health care provider with primary practice located at 1966 Inwood Rd , Dallas TX 75235-7298. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Carlock, Jenifer L can be contacted via phone (214) 905-3010.

Contact Information

Primary practice address
1966 Inwood Rd Dallas TX 75235-7298
Phone: (214) 905-3010
Fax: (214) 905-3022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 50565 Texas
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 90994

Profile Details

NPI number 1821194242
LBN Legal business name Carlock, Jenifer L
Credentials AUD CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821194242 NPPES
Texas Other 80321A BLUE CROSS BLUE SHIELD
Texas Other P00273208 BLUE CROSS BLUE SHIELD

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